ÿþ<HTML> <HEAD> <META NAME="GENERATOR" Content="Microsoft Visual Studio 6.0"> <SCRIPT ID=clientEventHandlersJS LANGUAGE=javascript> <!-- function GoBack_onclick() { history.back(); } var refarray = new Array(); refarray['Login.asp'] = "custsurvey.html"; for (var i in refarray) { if (document.referrer.indexOf(i) != -1) { window.location.reload(refarray[i]); } } //--> </SCRIPT> <TITLE>NFSMI FUNDamentals Add-On Modules Survey</TITLE> </HEAD> <LINK rel="stylesheet" type="text/css" href="Style Sheet1.css"> <BODY bgColor=#FFFFFF> <form id="FORM1" name="FORM1" action="custsurvey.asp" method="post"> <p><font face="Arial, Helvetica, sans-serif" size="3" color="663399"><b>NFSMI FUNDamentals<br> <font size="4" color="#FF9900">NFSMI FUNDamentals Add-On Modules Survey</font> </b></font></p> <br> <table align="center" border="1" cellpadding=1 cellSpacing="1" width="600" bordercolor="white"> <TR><TD align="center" bgcolor="#663399"><font face="Arial, Helvetica, sans-serif" size="3" color="#FFFFFF">Survey Questions</font></TD></TR> </table> <table align="center" border="1" cellpadding=1 cellSpacing="1" width="600" bordercolor="white"> <TR> <TD Width="315"><font face="Arial, Helvetica, sans-serif" size="3" color="black">Number of Schools</font></TD> <TD colspan=2><INPUT type="text" id=NumSchool name=NumSchool maxlength=50 style="WIDTH: 275px" value=""></TD> </TR> <TR> <TD Width="315"><font face="Arial, Helvetica, sans-serif" size="3" color="black">Do all schools cook and serve on site?</font></TD> <TD Width="113"><INPUT type="radio" id=chkPrep name=chkPrep value="0">Yes</TD> <TD Width="113"><INPUT type="radio" id=chkPrep name=chkPrep value="1" checked>No</TD> </TR> <TR> <TD Width="315"><font face="Arial, Helvetica, sans-serif" size="3" color="black">Do you have schools participating in a provision meal program?</font></TD> <TD Width="113"><INPUT type="radio" id=chkProvision name=chkProvision value="1">Yes</TD> <TD Width="113"><INPUT type="radio" id=chkProvision name=chkProvision value="0" checked>No</TD> </TR> <TR> <TD Width="315"><font face="Arial, Helvetica, sans-serif" size="3" color="black">Do you submit invoices for contract and meal programs?</font></TD> <TD Width="113"><INPUT type="radio" id=chkContractMeals name=chkContractMeals value="1">Yes</TD> <TD Width="113"><INPUT type="radio" id=chkContractMeals name=chkContractMeals value="0" checked>No</TD> </TR> </table> <table align="center" border="0" cellpadding="1" cellSpacing="1" width="400"> <TR> <TD align="left"><INPUT type="button" value="<<<< Go Back" id=GoBack name=GoBack class="buttonPurple" LANGUAGE=javascript onclick="return GoBack_onclick()"></TD> <TD align="left"><INPUT type="submit" value="Continue" id=SiteButton name=SiteButton class="buttonPurple"></TD> </TR> </table> </form> </BODY> </HTML>